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HomeMy WebLinkAbout45036-Z 5UFF0Viz, �00�0 pGg Town of Southold 8/3/2020 0 P.O.Box 1179 4i $ 53095 Main Rd oy 0N, 4 Southold,New York 11971 �Ol ,l,OW �r�rax�zrr� CERTIFICATE OF OCCUPANCY No: 41310 Date: 8/3/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 340 Sleepy Hollow Ln., Southold SCTM#: 473889 Sec/Block/Lot: 78.4-10.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/27/2020 pursuant to which Building Permit No. 45036 dated 7/27/2020 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: electric wiring to accessory shed and portable generator. The certificate is issued to Gaydosik,Michael&Maria of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45036 7/24/2020 PLUMBERS CERTIFICATION DATED uthorized Signature �o�S F�Qty TOWN OF SOUTHOLD �y BUILDING DEPARTMENT cm TOWN CLERK'S OFFICE oy • SOUTHOLD, NY dal � Sao y�� BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 45036 Date: 7/27/2020 Permission is hereby granted to: Gaydosik, Michael PO BOX 286 Mattituck, NY 11952 To: Electrical wiring to accessory shed and portable generator. At premises located at: 340 Sleepy Hollow Ln., Southold SCTM #473889 Sec/Block/Lot# 78.-1-10.7 Pursuant to application dated 7/27/2020 and approved by the Building Inspector. To expire on 1/26/2022. Fees: ELECTRIC $90.00 Total: $90.00 Building Inspector oF so�jy®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q sean.devlin(&-town.southold.n us Southold,NY 11971-0959 .�` • y® y' olyC®UNTI,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Michael Gaydosik Address: 340 Sleepy Hollow Ln city-Southold st: NY zip: 11971 Building Permit* 45036 Section: 7$ Block: 1 Lot: 10.7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Prime Electric Inc License No: 52402ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Shed X INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer Uc Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect 1 Switches 4'LED Exit Fixtures Pump Other Equipment: 50A Manual Lockout Breaker/Transfer Switch, Generator Plug Notes: Wiring of Shed and Portable Generator Inspector Signature: � Date: July 24 2020 S.Devlin-Cert Electrical Compliance Form.xls OFSOUIyO� 0 -3 V 1340 # TOWN OF SOUTHOLD BUILDING D . cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE &CHIMNEY " [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) - [ ] CODE VIOLATION ] PRE C/O 0�/� ct REMARKS: G/' o f/y,�i--cam -tie C�4-c. l �IJSt� '�'—ro�✓ — G DATE 2-4 I.-D INSPECTOR o�OSpFFQ(KcoG BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o� s� Town Hall Annex - 54375 Main Road - PO Box 1179 , y � - Southold, New York 11971-0959 %y�, app Telephone (631) 765-1802 - FAX (631) 765-9502 ra-erri�southoldtowrrnV:gov- sea-nd{d-�southoldtewnn-V-qov-- -- Z APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN IN RMATION (All information Required) Date:" i Company Name. ` ' - Name: I In License No.: M Ir" t mail: Address: 11'.f JIM YPOL Phone No.. l —10Y JOB SITE INFORMATION (Ali Information Required) Name: Address: Cross Street: Phone BIdg.Permit#:`_ email: ` Tax,Map District:':` ` Ob action: 78' k J Lot: BRIEF DFSCRIPTIOWOEWORK(Please Print Clearly) }'dry -7-7777 Circle All That Apply: �s . 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